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Bones Physiology and structure of bones Long bones Short bones Flat bones irregular bones sesamoid bones Osteokinematics Component movement Arthrokinematics Joint Types Moveable Non-moveable calcified connective tissue consisting of osteocytes (bone cells) in a matrix of ground substance and collagen fibers longer than they are wide, include the clavicle, humerus, radius, ulna, femur, tibia, fibula, metacarpals, and phalanges are found in the wrist and ankle and are shaped like cuboids include ribs, sternum, scapulae, and bones in the vault of the skull include bones of mixed shapes, such as bones of the skull, vertebra, and coxal bones develop in certain tendons, and worik to reduce friction on the tendon, thus protecting from excessive wear voluntary movements (flexion, abduction, rotation, etc.) accompany active motion, but are not voluntary (i.e. upward rotation of the scapula, clavicular rotation that occurs with shoulder fllexion, rotation of the fibula that occurs with ankle motion, etc.) aka joint play between joint surfaces as well as distendibility ("give") in a joint capsule (distraction, sliding, compression, rolling, spinning of joint surfaces) Pivot also known as Synovial/Diarthroidal joined by fibrous connective tissue or caritlage one bone has a ball, the other has a "cave" for the ball. Movement in all directions - Hip or Shoulder one convex surface meets a concave surface. Movement in one plane (flexion/extension) elbow or knee a process when on bone fits into a ring structure on another, Rotational movement whre the atlas meets the axis Sliding/Gliding both surfaces are essentially flat. Limited movement - Rib/vertebrae or scapula/clavicle Condyloid oval-shaped process of one bone fits into the elliptical cavity of antoher. Movement in two places (flexion/extension & abduction/adduction) - Writs or Atlas/occiput Ball and socket Hinge Saddle Axial Skeleton 7 cervical vertebrae 12 Toracic vertebrae 5 Lumbar vertebrae Scacrum Coccyx Sternum Ribcage both surfaces are saddle shaped. Movemtn in two planes. - Thumb joint C1 through C7 C1 = Atlas, C2 = Axis T1 though T12 Larger than cerivcal vertebrae, articulate with ribs L1 though L5 Largest vertebral bodies. Support the weight of the upper body five fused bones. The posterior side of the pelvis Three to five fused bones, aka tail bone anterior area of the chest where rib cage comes together with collar bone scapulae sit on the ribcage, moving about it, home of the diaphragm (that works with the intercostals to assist repiration) and lungs Appendiclar Skeleton Clavicle Scapula Subscapular fossa spine Acromion process Coracoid process Glenoid cavity Femur Greater trochanter Lesser trochanter the collar bone - connects thte scapula to the sternum and forms tow joints sternoclavicular and acromioclavicular - helps to hold the shoulder in place during arm moveemtn the anterior surface of the scapula the prominent edge of the posterior surface of the scapula joins with clavicle to form acromioclavicular joint site of muscle attachment for shoulder joint oval hole on lateral scapula forming the glenohumeral joint longest/heaviest bone in body. The smooth rounded head articulates with acetabulum of the coxal bone to form hip joint upper lateral process of the femur lower medial process of the femur. The distal end has medial and lateral condyles that articulate with lower leg. Patella Patellofemoral joint Tibiofemoral joint fits into a groove between the 2 condyles of the femur. patella meets with femur femur meets with tibia Tibia Fibula larger of 2 lower leg bones on the medial side, prosimal end articulates with femur. thin, twisted bone on the lateral side, articulates with tibia but not femur and makes the rounded bump of ankle. Bones of the Foot - 26 bones 7 tarsal Bones Talus Calcaneu 5 Metatarsal bones 14 Pedal phalanges form ankle articulates with tibia and fibula heel bone, distributes the weight of the body through the foot #1 big toe, #5 pinky toe make up toes - two in big toe, three in others Humerus Radius Ulna long boen of the upper arm, head is the ball of the shoulder's ball and socket one of two main forearm bones which rotates around the ulna the fixed bone of the two main forearm bones Bones of the Hand 27 bones 8 Carpal bones 5 Metacarpal bones 14 Phalanges form wrist form the palm make up the fingers - 2 in thum, 3 in others Bony Landmarks Pelvic Girdle Pelvis ASIS PSIS Iliac Crest Ischial tuberosities Pubic symphysis Spine Spinal column Vertebral bodies composed of scarum, ilium, ischium, pubis and coccyx anterior superior iliac spine posterior superior iliac spine the outward and upward flaring ridge of the hip the lower back end of the coxal bones aka "the sit bones" the lower front portion of the coxal bones connected by a cartlagenous disc aka "the pubic bone" strong flexible rod supporting the trunk, extending from skull to pelvis the round flattened surfacw which interfaces with the intervertebral discs Posterior spinous processes the spiny portion that you feel along the middle of your back, sites of muscular attachment Transverse spinous processes Sacrum Coccyx Femur Great Trocahnter Lesser Trochanter Condyles Shoulder Girdle Acromion Coracoid process Glenoid fossa Acromioclavicular joint Sternoclaviclar Joint Spine of the scapula Inferior angle of Scapula Superior angle of scapula flaps of bone sticking to the sides of the vertebral body, sites of muscular attachment the back of the pelvic ring the tail bone upper lateral process of the superior end of femur the lower medial process fo the superior end of the femur medial and lateral articulating with the lower leg point of scapula that joins with the calvicle site of muscle attachment for shoulder joint oval hole on the scapula that joins with the humerus shoulder blade/collar bone joint sternum/collar bone joint posterior protrusion for muscle attachment inferior border of the scapula superior-medial border of the scapula Cartilage Synovial tendon sheaths this type of cartilage unites synchondroses or pirmary cartilaginous joints such as the union of the manubrium and the sternum this type of cartilage joins symphysis or secondary cartilaginous joints by a plate usch as the union of the bodies of the vertebrae tubular sacs wrapped around the tendons which occur where tendons pass under ligaments, retinacula, facilitating movement by limiting friction Bursa a flattened sac of synovial membrane which facilitates movement by limitng friction Hyalin Fibrocartilage Connective Tissue Ligaments Tendons Fascia Superficial Deep dense bundles of parallel collagen fibers that hold two bones together, providng strength and stability to the joint the extension of a muscle into a long fibrous cord that blends into the periosteum of a bone - connects muscle to bone. loose connective tissue between the dermis and the deep fascia sheet of fibous tissue that invests the muscles and helps to support them by serving as an elastic sheath providing origins and insertions for the muscles and fibrous sheaths or the tendons Muscles Muscles of Respiration Levator costarum the floor of the thorax, the priamy muscle of respiration which elevates lower rivs increasing width of rib cage, elevates upper ribs increasing depth of rib cage. muscles between adjacent ribs which contract during deep, forced respiration. Help maintain the correct shape of the rib cage. insert proximally on trasverse processes of lower five cervical vertebrae and distally on upper surface of primay two ribs. Active during quiet respiration. Lift sternum and primary two ribs in "pum handle" action causing upward/outward action of upper portion of rib cage. runs from thoracic vertebrae to the back of a rib one or two notches below. Assists in the rotation of the spine and elevation of ribs Transversus abdominus pelvic floor deepest of four abdominal muscles which reduces diameter of abdomen, increases lordosis of the lumbar spine, supports the internal organs, and acts as stabilizer with sidebending. This muscle exhibits a pre-anticipatory contraction in health the ischiococcygeus and the pubococcygeus aka the "kegel muscles". Diaphragm Intercostals Scalenae Muscles of the Spine Spine Extensors Erctor spinae Quadratus lumborum Mutifidi Trapezius Rhomboids 3 divisions (iliocostalis - lateral, longissimus - middle, spinalis - medial) running all the way from head to bottom of rib cage producing extension, side-bend and rotation runs from back of iliac crest to the bottom rib and the spianl processes along the way, side bending of lumbar spine, elevation of pelvis multisegmental deep spinal muscles, completing the "corset" begun by the transverses abdominus. runs from occiput through T12 to the superior scapula and Clavicle producing extesniosn, side-bend, rotation of neck. run from the back of C7 through T5 to the medial scapula, lateral shift of vertebrae, sidebend or rotation of neck Spine Flexors Rectus abdominus External obliques internal obliques transversus abdominus crest of pubic symphysis to xyphoid process and cartilage of ribs 5-7. Funciton includes compression of abdomen and spinal flexion. front of ribs 5 - 12 to lenea alba and inguinal ligament. Produces flexion, compression of abdomen, unilateral side-bend, contralateral rotation. iliac crest, inguinal ligament, thoracolumbar fascia to lower ribs. Produces compression of abdomen, flexion, ipsilateral side-bend, rotation deepest of our, compression of abdomen, increase lumbar lordosis, stabilizes spine and pelvis before movement. Muscles of the Neck Subocciptal muscles Longus colli sternocleidomastoid Muscles of the Shoulder Serratus anterior Trapezius Pectoralis major and minor Rhomboids Deltoids Levator scapulae Latissimus dorsi Coracobrachialls Rotator cuff Subscapularis Supraspinatus Infraspinatus teres minor muscles which attach to the external surface of the occipt anteriorly and posteriorly deep 3-part muscle (longitudinal - C2-T3 to C4-C7, superior oblique - C1 to C3-C6, inferior oblique - T1-T3 to C5-C7). Flexion of head, straighten cervical spine, side-bend, rotation largest anterior neck muscle, runs bilaterally from sternum/clavicle to mastoid process. Elevation of sternum, side-bend, roation or flexion of head. scapular depression, abduction, upward rotation scapular elevation, adduction, upward rotation. Diamond-shaped, from occipital bones and primary 18 vertebrae to acromion process and spine of scapulae shoulder flexion, adduction, internal rotation scapular elevation, adduction, downward rotation shoulder flexion and internal rotation (anterior). Extension and external rotation (posterior), abduction (medial). scapular elevation, downward rotation shoulder extension, adduction, internal rotation flexion and adduction 4 muscles that combine to pull the head of the humerus medially, stabilizing the joint during movement shoulder internal rotations shoulder abduction shoulder external rotations shoulder extension, adduction, rotation Muscles of the Arm Biceps brachii triceps brachii Brachialis Muscles of the Hand Extensor carpi radialis primary arm flexor primary arm extensor elbow flexor extensor digitorum extednds and adducts wrist from anterior/medial ulna, splits into 4 tendons running through carpal tunnel to distal phalnages of fingers, producing flexion of all finger joints from elbow, splits into 4 tendons, each splitting into 3 bands, to the posterior second and first knucles, producing extension of all finger joints and wrist Pollicis Flexor: from radius to thumb, bends thumb inward toward palm, Abductor: from ulna and radius to lateral base of thumb, brings entire thumb toward palm, Extensor: from posterior radius to first and second knuckles of thumb, causing thumb extension Flexor digitorum Muscles of the Hip Hip Flexors Psoas major Iliacus Tensor fascia latae Iliotibial band Sartorius Rectus femoris large, thick muscle deep in abdomen. From vertebral bodies and discs at T12-L5 to the inguinal ligament and anterior part of hip jiont capsule. primarily a hip flexor and stabilizer. Poor flexibility may increase lumbar lordosis, anterior pelvic tilt and a hip-flexed posture. from anterior iliac crest to the IT band, producing abduction, flexion and medial rotation of thigh from iliac crest to superolateral tibia and head of fibula longest muscle of body running ASIS to superomedial tibia producing flexion, lateral rotation, abduction of femur 2 joint muscle, crossing hip and knee Hip Extensors Gluteus maximus Biceps femoris Semimembranosis Semitendonosis thigh extension from 45 degrees down to 0 degrees of flexion. part of hamstrings part of hamstrings part of hamstrings Hip Rotators Lateral rotators Medial Rotators Piriformis, Obturator internus, Obturator externus, Gemellus inferior, Gemellus superior, Quadratus femoris Gluteus minimus, Gluteus medius (anterior fibers), Tensor fascia latae, Gracilis Hip Adductors Adductor magnus Adductor brevis Adductor longus Pectineus Gracilis largest and strongest of adductors hip adduction anterior to adductor brevis from lateral pubis to pectineal line connecting lesser trochanter to linea aspera long, thin superficial hip adductor Hip Abductors Gluteus medius Gluteus minimus Tensor fascia latae Sartorius Muscles of the lower leg Knee extensors Knee flexors Gastrocnemius Soleus Anterior Tibialis Peroneus brevis peroneus longus Flexor hallucis longus Flexor digitorum longus Tibialis posterior superior to gluteus maximus, abducts and medially rotates thigh. Secondary job is hip flexion anterior to gluteus medius, reinforces action of anterior portion of gluteus medius (abduction and flexion of hip). Secondary job is hip flexion. from anterior iliac crest to the IT badn, producing abduction, flexion and medial rotation of thigh flexes, laterally rotates and abducts hip Quadriceps, vastus medialis, vastus intermedlu, vastus lateralis, rectus femoris Semimenbranosis, semintendonosis, biceps femoris, popliteus, plantaris, gracillis located on back of leg (calf), extend foot, inserts on heel by achilles tendon located on back of leg (calf), extend foot, inserts on heel by achilles tendon located on front of leg, flexes foot located on lateral leg, everts foot located on lateral leg, everts foot from posterioinferior fibula under foot to last joint of thumb toe, pointing of foot/toes and ankle inversions from posteromedial tibia under foot to last joints of 4 toes, pointing of foot and toes deepest of calf muscles producing plantar flexion and inversion, support of arches, works with peroneus longus forming sling for mid-foot Muscles of the Foot Instrinsic Flexion of the Arm Extensin of the Arm Abduction of the Arm Adduction of the Arm Lateral Rotation of the arm Medial Roation of the Arm provide support of arches during gait, and stability in standing anterior deltoid, pectoralis major, coracobrachialis, biceps brachii, subscapularis posterior deltoid, latissimus dorsi, teres major deltoid, supraspinatus, infraspinatus, Long head of biceps Latissimus dorsi, pectoralis major, Teres Major, Teres minor, Short head of biceps, Coracobrachialis Infraspinatus, teres minor, Posterior deltoid Subscapularis, Latissimus dorsi, Pectoralis major, Teres Major, Anterior Deltoid Lateral Rotation of the Hips Psoas, Iliacus, Rectus femorsi, Tensor fascia Latae, Gluteus minimus and medium, Sartorius, Pectineus, Gracilis Gluteus maximus, Biceps femoris, Semimembranosus, Semitendinosus, Gluteus medius, Adductor magnus Gluteus medius, Gluteus minimus, Tensor fascia latae, Gluteus maximus, Piriformis, Obturaors, Gemelli, Sartorius Adductor magnus, Adductor longus, Adductor brevsi, Pectineus, Gracilis, Psoas, Iliacus, Biceps femoris, Gluteus maximus Gluteus Medius, Gluteus minimus, Tensor fascia latae Gluteus maximus, Piriformis, Obturators, Gemelli, Quadratus femoris, Biceps femoris, Sartorius Flexion of the Knee Extension of the Knee Medial Rotation of the Knee Lateral Rotation of the Knee Semitendinosus, Semimembranosus, Biceps femoris, Popliteus, Gastrocnemius, Sartorius, Gracilis Rectus femoris, Vastus lateralis, Vastus intermedialis, Vastus medialis Sartorius, Semitendinosus, Semimbranosus, Gracilis, Popliteus Tensor fascia latae, Gluteus maximus, Biceps femoris Flexion of the Hip Extension of the Hip Abduction of the Hip Adduction of the Hip Medial Rotation of the Hip Planes of Motion Sagittal Plane Frontal/Coronal Transverse divides body into right and left - flexion and extension divides body into front and back - abduction and adduction Divides body into top and bottom - medial and lateral rotation Anatomical Terms Proximal Distal Anterior Posterior Medial lateral nearer center of body farther from center of body front back toward Midline away from midline Movement Terms Adduction Abduction Flexion extension lateral flexion medial rotation lateral rotation circumduction Axial Elongation Elevation depression protraction retraction superior rotation interior rotation pronation supination Plantar flexion Dorsiflexion Toward midline away from midline forward from anatomical position backward from anatomical position side-bending spiraling inward toward center spiraling outward from center triplanar movement of the hip joint, usually indicates abnormal gait grwong taller in the spine toward the superior toward the inferior lateral movement medial movement upward downward flattening of the arch peeling the medial foot away from the ground pointing the foot flexing the foot Muscle Function Terms Agonist Antagonist Synergetic Muscle Contraction Terms Isotonic Isometric Concentric Eccentric Origin Insertion produces a given movement produces the opposite movement muscles that work together to produce the same movement force of contraction is constant - muscle shortens force of contraciton changes - muscle length remains the same an overall shortening of the muscle occurs as it generates tension and contracts against resistance an overall shortening of the muscle occurs as it generates tension and contracts against resistance typically one of two muscle attachment "sites" which is fixed in some way. This is often the proxiaml bone. the other "site" of the muscle attachment which moves as a result of muscle contraction. This is oftent he distal bone.